Romania

diagnosis

CIM-10 (Clasificarea Internațională a Maladiilor, revizia a 10-a)

Romania uses CIM-10 — the official Romanian-language translation of WHO ICD-10. Codes are structurally identical to ICD-10 WHO base at the 3–5 character level (e.g., I21.0 = STEMI anterior in both). Minor divergence may exist in 6th-character Romanian extensions for specific national conditions. CIM-10 is NOT the same as ICD-10-CM (US) or ICD-10-AM (Australian); it is the standard WHO base with Romanian terminology. Published and maintained by Institutul Național de Sănătate Publică (INSP). Used for CNAS billing, hospital statistics, death certificates.

procedures

ICD-10-AM procedure codes (Australian Modification, adapted for DRG-RO)

Romania's DRG-RO hospital classification system uses ICD-10-AM (Australian Modification) procedure codes as input to the DRG grouper. DRG-RO was originally adapted from the Australian AN-DRG system in the early 2000s with technical assistance from the Australian Institute of Health and Welfare (AIHW). ICD-10-AM procedure codes are therefore used alongside CIM-10 diagnosis codes in Romanian hospital billing. This makes Romanian procedure coding more similar to UAE and Australian systems than to German (OPS/ICPM) or US (ICD-10-PCS/CPT) systems.

drg

DRG-RO (Romanian Diagnosis Related Groups)

DRG-RO: Romanian hospital payment system using DRG methodology, adapted from Australian AN-DRG framework. Updated periodically by MS (Ministerul Sănătății). Grouper inputs: CIM-10 principal + secondary diagnoses, ICD-10-AM procedures, patient demographics. Hospital tariffs set by CNAS via Ordinul ministrului sănătății. Current DRG-RO version maintained by Școala Națională de Sănătate Publică (SNSPMS).

dental

FDI (ISO 3950)

FDI two-digit notation standard throughout Romania. No national Romanian dental coding system distinct from FDI. CNAS dental services coded per CNAS tariff schedule; private dental: own nomenclature.

drugs

ANMDM registration number + ATC classification

All medicinal products must be registered with ANMDM (Agenția Națională a Medicamentului și a Dispozitivelor Medicale — National Agency for Medicines and Medical Devices of Romania). Products receive a unique ANMDM registration number. EMA centralized procedure drugs automatically valid in Romania. Romanian drug brand names often differ from Western European brands even for the same INN compound (e.g., Enap = enalapril maleate; Aspenter = acetylsalicylic acid 75mg enteric-coated; Algocalmin = metamizol sodium). National reimbursement list (Lista de medicamente compensate și gratuite, published by MS via HG) covers ~3,000 products for insured CNAS patients. ATC codes used for formulary management.